Director of Interventional Cardiology @atriumhealth, CTO/CHIP/PE/SHOCK. Soccer/car fanatic, @ClevelandClinic CV trained, @Vanderbilt IM resident/chief
Charlotte, NC
Joined September 2008
- Tweets3.5K
- Following684
- Followers1.5K
- Likes2.1K
Fun conversation with @ziadalinyc on a common discussion point - utility of specialty balloons! @Hragy @mirvatalasnag @realarainmd @RafaelCav_MD @DrJMHill @evandrofilhobr
Specialty balloons create controlled dissection, not just more force. Dr. Ziad Ali (@ziadalinyc) and Dr. Nyal Borges (@nyalborgesmd) cover device selection, undersizing in calcium, and why the first device in a lesion matters most.
Watch the full episode on the BackTable App: na2.hubs.ly/H08x84f0
#CV57 #InterventionalCardiology #CuttingBalloon #ScoringBalloon #CoronaryCalcification #ComplexPCI @StFrancis_LI @CHS_LI @atriumhealth
Fortunate to share we are the first account in the mid Atlantic to use Phillips Hypervue and X1 FFR systems. Great imaging quality and AI workflow - very intuitive technology. @AtriumHealth @theSHVI @DrDarshanDoshi @DrJMHill @PhilipsIC @SpectraWAVE_Med @troyleomd
Used the new shockwave aero fly last week for the first time in our region. Excellent device and the 2Hz is such an upgrade from the therapeutic time standpoint! @AtriumHealth @ShockwaveIVL
Nyal Borges retweeted
“The next phase of coronary IVL may come down to deliverability, energy distribution, and workflow.”
A discussion on Seismiq - A new calcium modification device with @matthewjpricemd and @nyalborgesmd!
Links below ⬇️ #IVL #CardioX
Nyal Borges retweeted
Hear how Drs. @Nyalborgesmd, @ESHLOF, and @jbspadoni use imaging to support treatment decisions. They share how imaging is shaping their daily practice and influencing the future.
Watch the full interview: qrco.de/bgrM1C
Nyal Borges retweeted
Let IVUS guide your strategy.
Hear Drs. @Nyalborgesmd, @ESHLOF, and @jbspadoni share their perspectives on what true IVUS-guided PCI looks like, and how using imaging helps improve your PCI strategy for better patient outcomes.
Learn more: qrco.de/bgqBEI
More DCB conversations! @realarainmd @JWMoses @TWilsonMD @jl35wilsonMD @Hragy @mirvatalasnag @PSandesara_MD @AtriumHealth @BSCCardiology @evandrofilhobr @ShariqShamimMD
Before you reach for the DCB, how do you decide the vessel is ready?
A discussion with @nyalborgesmd and @PSandesara_MD on their approach.
• <30% residual stenosis
• No flow-limiting dissection
• No EKG changes or angina
• Adequate side branch result
What’s your personal threshold for proceeding with DCB after angioplasty?
Important discretions and things to consider when interpreting IVI vs angiography based PCI trials!
@AtriumHealth @troyleomd @BSCCardiology @hect2701 @RafaelCav_MD
IVUS-used vs. IVUS-guided.
Hear fresh insights from the IVUS-CHIP trial at ACC.26, as Drs. @Nyalborgesmd, @ESHLOF, and @jbspadoni share expert perspectives and how these findings play an important role in the clinical application of IVUS data.
Dive into the data: qrco.de/bgoLT4
Nyal Borges retweeted
For those using DCBs in bifurcations, are you routinely pre-kissing before delivery, or only when the balloon won’t track?
A discussion with @PSandesara_MD and @nyalborgesmd
#Coronary #CardioX
Excellent session on CRT TV tomorrow with live cases and discussion on imaging, physiology and CMD with great faculty! @BCase07 @ziadalinyc @hect2701 @jl35wilsonMD @ShariqShamimMD @Hragy @BSCCardiology @Murmur_MD @mmamas1973
If it's Saturday, it's CRT TV! 🫀
Join us May 2 | 9 AM–12 PM ET for an interactive deep-dive into Imaging & Physiology — featuring IVUS, OCT, CMD, QFR, and live cases.
@HashimHayder @hect2701 @arnoldseto @nyalborgesmd @ziadalinyc @PaulSap9
See you there! 👇 @CRT_meeting
Nyal Borges retweeted
Big moment for our program.
Thrilled to welcome three outstanding vascular surgery fellows to Carolinas Medical Center for 2027–2029. The growth reflects the strength of our training environment, mentorship, and case volume.
The future is being built now.
Nyal Borges retweeted
That makes sense for me. Good to have data for this decision making, less-is-more once again...
In patients with non–LM bifurcation lesions a conservative strategy without systematic side branch intervention is associated with very rare procedural complications and is noninferior to a systematic side branch intervention regarding MI jacc.org/doi/10.1016/j.jcin.…
Honored to receive this recognition. Look forward to future work with @SCAI and making meaningful connections through the amazing network!
Congratulations to the #SCAI2026 30 in Their 30s recipients—highlighting the next generation of leaders advancing interventional cardiology through clinical excellence, research, and mentorship. 🌟👩⚕️👨⚕️
Learn more ➡️ scai.org/media-center/news-a…
@Dr_AbuDaya @ZaidAlMarzooq @Obadah1Md @nyalborgesmd @BhattadMD @YChowdhuryMD @DocEBROhimi @fangjonathanx @HarmanSGill @KIgbalode @AhmadJabri8 @vikjag45 @ikutkutMD @NinoNJ @MukarramOsama @DrPrimeroNg @BhavanPentaMD @haseebqazi @frahman480 @sumonroy_md @drsharmatoishi @Tabaza @BWanamakerMD @ATYounesMD @JDawnAbbott1 @CCAD_MHIF @MHIF_Heart
Nyal Borges retweeted
Distal RCA. Two layers down.
Crux lesion.
Instead of a third stent @nyalborgesmd went DCB.
Final IVUS shows improved expansion across the PDA and bifurcation, matching reference vessel much better.
Where do you draw the line for DCB use in ACS? #CardioTwitter
Nyal Borges retweeted
“Stent thrombosis isn’t a problem- it’s a diagnosis.”
@nyalborgesmd and @joewalshmd discuss Stent Thrombosis Management: IVUS-Guided Strategy and When to Use DCB!
Links below⬇️ #CardioTwitter #Coronary #DCB
Nyal Borges retweeted
This is the session I missed - because I had to run to the airport.
But what a fitting name for a database housed at Emory!
The ANDREAS Registry! 😀
BTW, Skip Anderson showed us exactly how sophisticated the research operations at Emory were in the early days of angioplasty! 🤯
